【作者】 陈娟红； 姚惠萍； 黄超兰； 吴文静； 富燕萍；

【Author】 Juanhong Chen;Huiping Yao;Chaolan Wang;Wenjing Wu;Yanping Fu.;Department of ICU,Zhejiang Provincial People’s Hospital;

【机构】 浙江省人民医院ICU；

【摘要】 目的探讨循证护理在预防危重患者留置中心静脉导管致导管相关性血流感染中的应用效果。方法将ICU 508例深静脉置管患者作为研究对象,第一阶段2013年7月-2013年12月282例,3012个导管日采用传统的血管导管管理方法,为对照组;第二阶段2014年1月-2014年6月226例,2760个导管日采用循证护理管理,为观察组,比较两组患者导管相关性血流感染(CRBSI)的发生率及入住ICU时间,采用t检验和X~2检验进行统计学分析。结果观察组CRBSI发生6例,每千个导管日CRBSI的发生率为2.17‰,对照组CRBSI发生17例,每千个导管日CRBSI的发生率为5.64‰,两组比较CRBSI发生率差异有统计学意义(P<0.05);观察组入住ICU时间为20.92±4.52天,对照组为27.39±9.89天,观察组短于对照组(P<0.01)。结论循证护理管理能有效预防危重患者CRBSI的发生,同时可减少患者入住ICU时间。更多还原

【Abstract】 Objective:To study the effect of Evidence Based Nursing on preventing catheter-related bloodstream infections in critically ill patients.Methods:A total of 508 patients in ICU with deep vein catheter were included.There were 282 patients treated with traditional nursing in control group and 226 patients treated with Evidence Based Nursing in observation group.The incidence of catheter related bloodstream infections and the ICU-days were recorded.Results:The number of patients having catheter-related bloodstream infections was 6 in observation group and 17 in control group.The catheter-related bloodstream infections incidence was higher in control group(5.64%c vs 2.17 ‰,P<0.05).The ICU-days was longer in control group(27.39 ± 9.89 d vs 20.92 ± 4.52 d,P<0.01).Conclusions:Evidence Based Nursing was effective in preventing catheter-related bloodstream infections and reducing ICU-days in critically ill patients.更多还原